Jessica Hagan
Nurse Practitioner, Family in Rayville, LA. Individual provider (NPI-1).
NPI number1265039366
StatusActive
Last updated in NPPESJun 16, 2023
Details
- NPI
- 1265039366
- Entity type
- Individual (NPI-1)
- Name
- Jessica Hagan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Jun 16, 2023
- Last updated
- Jun 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 213888 | LA | Yes |
Practice location
111 Christian DrRayville, LA 71269-3658
Phone 318-728-4400 · Fax 318-728-4430
Mailing address
111 Christian DrRayville, LA 71269-3658
Phone 318-728-4400 · Fax 318-728-4430
Other practice locations
4864 Jackson St
Monroe, LA 71202-6400
Monroe, LA 71202-6400
Phone 318-330-7000
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All 19 Family Nurse Practitioner providers in Rayville · All 283 providers in Rayville
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